title: An incidental case of biliary fascioliasis with subtle clinical findings: US and MRCP findings.
abstract: BACKGROUND
  Fascioliasis is a disease caused by the trematode Fasciola hepatica. Cholangitis is a common clinical manifestation. Although fascioliasis may show various radiological and clinical features, cases without biliary dilatation are rare.
  
  
  METHODS
  We present unique ultrasound (US) and magnetic resonance cholangiopancreatography (MRCP) findings of a biliary fascioliasis case which doesn't have biliary obstruction or cholestasis. Radiologically, curvilinear parasites compatible with juvenile and mature Fasciola hepatica within the gallbladder and common bile duct were found. The parasites appear as bright echogenic structures with no acoustic shadow on US and hypo-intense curvilinear lesions on T2 weighted MRCP images.
  
  
  CONCLUSIONS
  Imaging studies may significantly contribute to the diagnosis of patients with subtle clinical and laboratory findings, particularly in endemic regions.
authors.affiliation: Department of Radiology, Dicle University Medical Faculty, Diyarbakır, Turkey.
authors.forename: Hakan
authors.initials: H
authors.lastname: Onder
authors.forename: Faysal
authors.initials: F
authors.lastname: Ekici
authors.forename: Emin
authors.initials: E
authors.lastname: Adin
authors.forename: Suzan
authors.initials: S
authors.lastname: Kuday
authors.forename: Hatice
authors.initials: H
authors.lastname: Gümüş
authors.forename: Aslan
authors.initials: A
authors.lastname: Bilici
keywords: fascioliasis; magnetic resonance cholangiopancreatography; ultrasonography